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General NPI Number Information
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NPI Number | 1841031085
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Entity Type | Organization
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Legal Business Name | ELITE THERAPY INSTITUTE LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 8190 S JOG RD STE 100
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2911
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Country | US
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Telephone | 561-731-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 8190 S JOG RD STE 100
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2911
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Country | US
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Telephone | 561-731-5999
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICARDO ATTI
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Credential |
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Telephone | 954-839-0233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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